41 lines
1.6 KiB
Text
41 lines
1.6 KiB
Text
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<!doctype html>
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<html lang="en">
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<head>
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<meta charset="utf-8">
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<meta name="viewport" content="width=device-width, initial-scale=1">
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<title>Contact form</title>
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</head>
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<body>
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<h2>Kontakt-Formular</h2>
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<form action="/submit" method="post">
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<input type="hidden" name="id" value="{{ id }}" required>
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<div class="mb-3">
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<label for="name" class="form-label">Name</label>
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<input type="text" name="name" class="form-control" id="exampleInputEmail1" required>
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</div>
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<div class="mb-3">
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<label for="email" class="form-label">E-Mail</label>
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<input type="email" name="email" class="form-control" id="email" required>
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</div>
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<div class="mb-3">
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<label for="telefon" class="form-label">Telefon</label>
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<input type="number" name="telefon" class="form-control" id="telefon">
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</div>
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<div class="mb-3">
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<label for="message" class="form-label">Nachricht</label>
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<input type="text" name="message" class="form-control" id="message" required>
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</div>
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<div class="mb-3">
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<label for="captcha_answer" class="form-label">Code vom Bild daneben eingeben</label>
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<input type="text" name="captcha_answer" class="form-control" id="captcha_answer" required>
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</div>
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<button type="submit" class="btn btn-primary">Abschicken</button>
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</form>
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<img src="data:image/png;base64,{{ captcha }}">
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</body>
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</html>
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